Robert Stuart and Darren Hughes

“The core donor data form could have contained more information as to the second lumbar test performed on the donor and could have given the results of the first lumbar puncture test”

“There was information available on the medical microbiology report which was not passed on to the accepting transplant centre”

“The Kidneys were accepted by the transplant centre following a telephone conversation between the consultant and the transplant coordinator”

“The kidneys were accepted by the consultant acting alone”

“The Coroner heard that a standard consent form is used for all operations, and heard evidence that this has proved unsatisfactory for transplant operations where issues have to be covered that are not catered for by the standard form”